Clinical profile of patients with posterior scleritis: A report from Eastern India
Indian J Ophthalmol
;
2018 Aug; 66(8): 1109-1112
Article
| IMSEAR
| ID: sea-196814
ABSTRACT
Purpose:
This study aimed to report the clinical profile of patients with posterior scleritis at a tertiary eye center in Eastern India.Methods:
This was a single-center retrospective case series of patients who were diagnosed as posterior scleritis between January 2010 and December 2014, with a follow-up period of at least 6 months.Results:
The study included 18 patients of posterior scleritis with a mean age of 41.2 � 10.6 years (range 26� years). With female preponderance (55.6%), majority of the posterior scleritis cases were unilateral (88.9%). Sixteen patients reported with diminution of vision, eleven patients (61.1%) had ocular pain on presentation, and five patients complained of headache. Concurrent anterior scleritis was found in three eyes (15%) with posterior scleritis. Choroidal folds and subretinal fluid at the posterior pole were the most common fundus findings and were seen in seven eyes (35%) each. No systemic association was detected in any patient even after extensive laboratory workup and multidisciplinary consultation. All patients received oral steroid, and 11 (61.1%) of them required intravenous pulse steroid therapy. Immunosuppressive was used in 6 (33.3%) patients, and oral azathioprine was the most common immunosuppressive used in the study. Recurrence was noted in eight eyes (40%). The mean best-corrected visual acuity improved to logarithm of the minimal angle of resolution (logMAR) 0.06 � 0.051 at the final follow-up from 0.47 � 0.45 logMAR at presentation (P = 0.00608).Conclusion:
Posterior scleritis is relatively rare but can occur without systemic involvement. Aggressive immunomodulatory therapy is required to treat vision-threatening condition.
Full text:
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Index:
IMSEAR (South-East Asia)
Journal:
Indian J Ophthalmol
Year:
2018
Type:
Article
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